Evan Douglas Peterson, PA-C

NPI #1003330036 in Des Moines, Iowa

Provider Information

NPI Number: 1003330036
Entity Type: Individual
Name: Evan Douglas Peterson, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 1, 2017
Last Updated: Oct 30, 2024

Practice Location

Address: 6520 SE 14TH ST
City: Des Moines
State: Iowa
ZIP Code: 50320-1846
Phone: (515) 953-1500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Physician Assistant	363A00000X	Primary

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